The Hawaiian gazette., 1887-05-03
oRcial Report on the Smallpox at
Lahaina.
LAHA1SA. April 18th, 1881.
Hrs ExCELLxNCY w. ii. GIBSON,

LAHATSA, April 18th, 1851.
HIs ExCELLESCv w. III. GIBSON,
President Board Of Health.
SIC II have the honor 10 submit to Your
Excellency the following report concerning
the case Of smallpox amOng the japanese at
L2halna and the quarantine imposed on &C
count OF the same.
On my arrival here on the morning of the
18th instant DR.. huehn and myself visited
the patient at the peSthouSe. I found him
thickly covered with an eruption /; there were
also several sores on his legs and lolns, the
lsttsE most likely syphilis. On examining
the eruption found II to be of two distinct
kinds, large majority of il being superficial.
On opening the same I found they contained
s vatery fluid, decidedly not smallpox.
There were about fifty other pusties. half
OF which seemed to have been forced toward
maturity. most likely by the use OF cauStic,
which from experience know to lie Japan
csc mode Of treatment IN smallpox cases.
The other half were Eelkdeveloped pustules,
having deep base undsSthe skin, and con-
tanning 8 thick pus entirely different to those
first mentioned. The patients mouth gave
additional proof of the nature of the disease.
On the skin between the pustulsS l noticed
one or two marks which suggested the idea
of previous smallpox. As Mr.. Suja, the IN
ta<preser. and the japanese doctor were pres
elt- / asked the patient ii he had had small
pox before. He stated th4t he had 1t when
young.
In spite OF the above information could
come 10 no other conclusion than that 1t was
3 case OF smallpox of mild form, and after
watching the eass for day or two 1 was sat
ishsd that the doctors had decided Alright.
Two OF three days after my arrival the erup-
ton first mentioned commenced TO dry up
and disappear, and by the 18th instant was
entirely gone, leaving the smallpox pustulss
well defined and progressing II the ordinary
manner.
Dr. hushn and myself made q thorough in
sp=etio1 OF the japanese IL quarantine yes
tsrdzy, and with the aid Of an interpreter Oh
tanned the following facts regarding their
protection from smallpox by previous small
pox OF vaccination. 0at OF 80 Japanese liv-
ing II the house in quarantine = had small
uOr before About half OF this number show
strong marks OF the disease, one-fO1Tth show
Slight marks, and Ne have taken the word Of
the remaining fourth that they had 1t, al
though Ii has left 10 marks. Eleven OF the
Japanese who have not had smallpox show
good marks OF having been successfully vac
einzted In Japan, and only two Of them show
nsittsr smallpox nor vaccination marks.
Fr0n careful inquiries find that the pa
tisls vas taken with the fever April 1st, the
eEuptioa broke ont on the 18th, and the man
vas removed 10 the peSthoasa OF the morning
OF ths csl- Ihs house was thoroughly f1ni-
gated and diSiufsctsd. and with the 81 Japan
csc Ezs placed undsr strict quarantine
IhsEs vas also quarantine placed o. the
town by order OF Dr. k1ehu, but this vas
EfEsrEsrd raised bF orders from other quar-
tszs- Upon ny arrival here, after having
szea the pstislt. decided 10 rs-guerautina
the town. also 0i0ssIa. and IS there srs 10
signs OF any uOEs cssss | have raised the
quarantine this morning.
l have had the japanese quarters again dis
infected, and ths quarters OF other la5oEsrs
have beeu cleaned and disInfee.ed BY W. I.
H0E1zr ~ NJ req1sst, and every pEecaltiOn
taken 70 p1t ths place n as good sanitary
condition ss possible Since the quarantine
vas imposed - ueEs0ns have bean TsecIn-
gtsd- I an ST., y01r O5sdisuE servant
c. B. REYNOLDS,
Agent Board % Health